MEDICARE: DR. HENRY M. PASZKO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	174814	NY

General Provider Information

NPI Number	:	1043260730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENRY M. PASZKO M.D.

Provider Business Mailing Address
First Line	:	4201 BUFFALO RD
Second Line	:	BOX 505
City	:	NORTH CHILI
State	:	NY
Zip	:	14514-1256
Country	:	US
Telephone Number	:	585-594-5995
Fax Number	:	585-594-5425

Provider Business Practice Location Address
First Line	:	4201 BUFFALO RD
Second Line	:	BOX 505
City	:	NORTH CHILI
State	:	NY
Zip	:	14514-1256
Country	:	US
Telephone Number	:	585-594-5995
Fax Number	:	585-594-5425

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	12/15/2017

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